A Prospective Study of Contracture of the Finger and its Management in a Tertiary Care Center.

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Annals of African Medicine Pub Date : 2024-07-01 Epub Date: 2024-07-20 DOI:10.4103/aam.aam_153_23

Brijesh Kumar Shukla, Neeraj Naithani, Amit Kumar, Ritambhara Mishra

{"title":"A Prospective Study of Contracture of the Finger and its Management in a Tertiary Care Center.","authors":"Brijesh Kumar Shukla, Neeraj Naithani, Amit Kumar, Ritambhara Mishra","doi":"10.4103/aam.aam_153_23","DOIUrl":null,"url":null,"abstract":"Background: When the range of motion between two finger segments, both active and passive, is restricted, finger contracture occurs. The aim of this study is to investigate the best procedure to eliminate finger contracture and the functional and esthetic results of the different surgical procedures.Materials and methods: A total of 31 patients with soft-tissue abnormalities of the hand were included in this prospective study. They underwent either contracture removal with K-wire and skin grafts or various flap procedures in the department of plastic surgery. Complaints of stiffness and discomfort were classified into five categories: none, mild, moderate, marked, and severe. The difficulty a person had in picking up objects, grasping, writing, etc., was used to determine the degree of disability. Absenteeism from work and surgical site infections were also recorded.Results: The mean age was 20.25 years, with a mean age of 23.05 for men and 15.83 for women. Overall, most cases occurred in the age range of 3-10 years. For K-wire surgery with skin grafting, the typical time off work was 24 days. The average recovery time ranged from 15.2 days for skin grafts to 16.9 days for tenolysis, 28.33 days for groyne flaps, and 41 days for abdominal flaps. Of all cases, 12 (38.00%) had a fair result, 10 (31.04%) had a moderate result, and 9 (30.96%) had an excellent result.Conclusion: The most feasible method for treating these situations, which offers the greatest potential for a functional and cosmetic result, is contracture reduction with skin grafting.","PeriodicalId":7938,"journal":{"name":"Annals of African Medicine","volume":"23 3","pages":"482-487"},"PeriodicalIF":0.6000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11364318/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of African Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4103/aam.aam_153_23","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/20 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background: When the range of motion between two finger segments, both active and passive, is restricted, finger contracture occurs. The aim of this study is to investigate the best procedure to eliminate finger contracture and the functional and esthetic results of the different surgical procedures.

Materials and methods: A total of 31 patients with soft-tissue abnormalities of the hand were included in this prospective study. They underwent either contracture removal with K-wire and skin grafts or various flap procedures in the department of plastic surgery. Complaints of stiffness and discomfort were classified into five categories: none, mild, moderate, marked, and severe. The difficulty a person had in picking up objects, grasping, writing, etc., was used to determine the degree of disability. Absenteeism from work and surgical site infections were also recorded.

Results: The mean age was 20.25 years, with a mean age of 23.05 for men and 15.83 for women. Overall, most cases occurred in the age range of 3-10 years. For K-wire surgery with skin grafting, the typical time off work was 24 days. The average recovery time ranged from 15.2 days for skin grafts to 16.9 days for tenolysis, 28.33 days for groyne flaps, and 41 days for abdominal flaps. Of all cases, 12 (38.00%) had a fair result, 10 (31.04%) had a moderate result, and 9 (30.96%) had an excellent result.

Conclusion: The most feasible method for treating these situations, which offers the greatest potential for a functional and cosmetic result, is contracture reduction with skin grafting.

查看原文本刊更多论文

一家三级医疗中心对手指挛缩及其治疗的前瞻性研究

背景：当两个手指节段之间的主动和被动活动范围受到限制时，就会发生手指挛缩。本研究旨在探讨消除手指挛缩的最佳手术方法，以及不同手术方法的功能和美观效果：这项前瞻性研究共纳入了 31 名手部软组织异常患者。他们在整形外科接受了 K 线和植皮挛缩切除术或各种皮瓣手术。僵硬和不适的主诉分为五类：无、轻度、中度、明显和严重。患者在拾取物品、抓握、书写等方面的困难程度被用来确定其残疾程度。缺勤和手术部位感染也被记录在案：平均年龄为 20.25 岁，其中男性平均年龄为 23.05 岁，女性平均年龄为 15.83 岁。总体而言，大多数病例发生在 3-10 岁之间。K 线手术和植皮手术的一般停工时间为 24 天。植皮手术的平均恢复时间为 15.2 天，腱鞘溶解手术为 16.9 天，颅骨皮瓣手术为 28.33 天，腹部皮瓣手术为 41 天。在所有病例中，12 例（38.00%）效果一般，10 例（31.04%）效果中等，9 例（30.96%）效果极佳：结论：治疗这些情况最可行的方法是通过植皮减少挛缩，这种方法具有最大的功能和外观效果潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Annals of African Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

0.90

自引率

0.00%

发文量

期刊介绍： The Annals of African Medicine is published by the Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria and the Annals of African Medicine Society. The Journal is intended to serve as a medium for the publication of research findings in the broad field of Medicine in Africa and other developing countries, and elsewhere which have relevance to Africa. It will serve as a source of information on the state of the art of Medicine in Africa, for continuing education for doctors in Africa and other developing countries, and also for the publication of meetings and conferences. The journal will publish articles I any field of Medicine and other fields which have relevance or implications for Medicine.